Displaying 178251-178260 of 1611142 results.
ID:
178251
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178252
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178253
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
178254
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
178255
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178256
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178257
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178258
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178259
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
748879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
178260
Formulary ID:
00021078
Formulary Version:
13
Contract Year:
2021
RXCUI:
359385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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